DR. BRENT DALE BLACK (NPI# 1710981279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710981279 |
| Entity Type | Individual |
| Full Name | DR. BRENT DALE BLACK |
| Credential | M.D. |
| Practice Address |
1993 Errecart Blvd Elko NV 89801-8334 |
| Practice Telephone | 7757531049 |
| Practice Fax Number | 7757778494 |
| Mailing Telephone | 7757531049 |
| Mailing Fax Number | 7757778494 |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2014-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 15069 | NV | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
15069 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849365 | Brent T. Black | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Oral Surgery, Shreveport, LA 71130-3932 | 2020-04-09 |
| 1679825756 | Brent Black | Marriage & Family Therapist | 750 N 200 E, Provo, UT 84606-1705 | 2012-10-12 |
| 1861580375 | Brent Matthew Black | Counselor | 114 N Grand Ave, Suite 419, Okmulgee, OK 74447-4013 | 2006-10-10 |
| 1710927835 | Brent D Black | Internal Medicine | 2525 Harbor Blvd, 104, Port Charlotte, FL 33952-5317 | 2006-06-07 |
| Street Address |
1993 ERRECART BLVD |
| City | ELKO |
| State | NV |
| Zip Code | 89801-8334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255683926 | Teresa Lynnette Thomas | Emergency Medical Technician, Intermediate | 1993 Errecart Blvd, Elko, NV 89801 | 2012-10-05 |
| 1891043915 | Anthony Paul Hemmert | Social Worker | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2012-08-21 |
| 1962788075 | Harriet Asare Antwi | Pharmacist | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2011-11-02 |
| 1326323213 | Jessica Dominguez | Pharmacist | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2011-10-11 |
| 1710172648 | Frances Catherine Vicencio Ponce | Internal Medicine | 1993 Errecart Blvd, Golden Health Family Medical Clinic, Elko, NV 89801-8334 | 2007-09-13 |
| 1811198559 | Catherine Elizabeth Foster Mitchell | Nurse Practitioner | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2007-05-30 |
| 1255454245 | Michelle Lynn Husbands | Registered Nurse | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2007-04-06 |
| 1760525463 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2007-02-14 |
| 1982708574 | Premise Health of Nevada Medical Hinitt P C | Family Medicine | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2006-09-12 |
| 1568472728 | Felix Quinto Deguzman | Internal Medicine | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780638 | Ashleigh Unique Hopson | Behavior Technician | 764 S 5th St #23, Elko, NV 89801 | 2018-11-27 |
| 1457829822 | Asuzena Cruz Lopez | Behavior Technician | 250 Lamoille Hw, Suite 103, Elko, NV 89801 | 2018-11-05 |
| 1326542770 | Iona Michelle Weeks | Nurse Practitioner | 1993 Errecart Blvd., Elko, NV 89801 | 2018-03-21 |
| 1720588395 | Arturo Ruiz Jr. | Behavior Technician | 251 West River #26, Elko, NV 89801 | 2018-02-20 |
| 1942748231 | Mhm Solution Inc | Early Intervention Provider Agency | 2350 North 5th Street, Elko, NV 89801 | 2017-02-07 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1265898068 | Full Range Physical Therapy, LLC | Clinic/Center | 620 S. 12th St. Ste. 110, Elko, NV 89801 | 2016-01-08 |
| 1932577889 | Brandie Lee Oros | Nurse Practitioner | 160 12th Street, Elko, NV 89801 | 2015-09-09 |
| 1770900441 | Sarah Jean Martinez | Physical Therapist | 620 S. 12th St., Ste. 110, Elko, NV 89801 | 2014-03-19 |
| 1841627916 | Ron Zedek Md PC | Counselor | 1250 Lamoille Ave Ste 103, Elko, NV 89801 | 2013-10-03 |
| Find all providers in zip 89801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366517807 | Terry J Nevins | Family Medicine | 855 Railroad Street, Elko, NV 89801 | 2006-11-21 |
| 1215941760 | Karen L Wright | Family Medicine | 845 Railroad St, Elko, NV 89801-3831 | 2006-07-28 |
| 1922090356 | Steve Lore | Family Medicine | 762 14th St, Elko, NV 89801-3413 | 2005-08-22 |
| 1902329469 | Medallus & Vacharothone Ltd | Family Medicine | 1501 Lamoille Hwy, Elko, NV 89801-4321 | 2017-07-17 |
| 1215314620 | Jacqueline Huynh | Family Medicine | 762 14th St, Elko, NV 89801 | 2015-05-05 |
| 1457630568 | Simon Family Medicine, Pllc | Family Medicine | 1995 Errecart Blvd, Suite 208, Elko, NV 89801-8346 | 2011-08-06 |
| 1841470747 | Eden Medical Services, LLC | Family Medicine | 845 Railroad St, Elko, NV 89801-3831 | 2007-11-07 |
| 1467518530 | Morning Star Health Centers | Family Medicine | 1250 Lamoille Hwy, Suite 413, Elko, NV 89801-4396 | 2006-12-30 |
| 1659436038 | Kirin Leslie Madden | Family Medicine | 515 Shoshone Cir, Elko, NV 89801-5072 | 2006-12-26 |
| 1982708574 | Premise Health of Nevada Medical Hinitt P C | Family Medicine | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2006-09-12 |
| Find all providers in ELKO | ||||
Please comment or provide details below to improve the information on DR. BRENT DALE BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.